Free Quote

Name and Surname :

E-mail :

Tél. :

Date of Birth (DD/MM/YYYY) :

Gender (male or female) :

UK Full Address with Post Code :

Marital status :

Full UK Licence (years) :

Do you have any disabilities ?

Has your insurance been canceled ?

Have you ever had any non motor convictions ? :

Ever refused insurance ?

Restrictions ?

Increased premium ?

How many years no claim bonus do you have ?

Have you had any accident or claim in the last 6 years ?

Have you previously held insurance ?

Car registration number :

Estimated vehicle value :

Date of purchase :

Had your vehicle been modified ?

Does your vehicle have other than standard factory fittings ?

Are you the owner-keeper of the vehicle?

Who will drive the vehicle, the proposer ?

If partner also drive, name, date of birth, occupation ?

Message :

You also can contact us directly by email or over the phone.Our e-mail address : contact@ukplates-in-france.comOur Telephone number :(+44) 1772 367 467